EXECUTIVE SUMMARY Introduction: Ethiopia is one of disaster prone countries and war, drought, famine and related disasters have been a recurring feature of Ethiopian recent history and indeed the history of the Horn of Africa. Despite the current fast economic growth, the population socio- economic status remain low and Ethiopia still one of the poorest country. Objective: The objective of this study is to assess the disaster profile of Ethiopia for the last 70 years. Information on Ethiopia disaster risk profile will contributes to a better understanding of a country’s past and current disaster situations and its impact, disaster risk factors, its policy and strategies and sheds light on the improvement of the disaster risk reduction and management policy and programs. Study design: Descriptive case study design was employed and extensive literature reviews were conducted from ninety five different articles, reports, books and other similar documents. Result: The first large scale disasters in the recent Ethiopian history were recorded during the invasion of fascist Italy. The 1935–36 Italian fascist invasion of Ethiopia were accompanied by numerous atrocities including the use of mustard gas, the bombing of Red Cross hospitals and ambulances, the execution of captured prisoners without trial, the Graziani massacre, the killings at Däbrä Libanos monastery, and the shooting of “witch -doctors” accused of prophesying the end of fascist rule. One million Ethiopians perished as a result of the genocidal Fascist invasion and 2,000 churches as well as 525,000 homes were destroyed. The poison gas sprayed by numerous Fascists air planes also destroyed 14 million animals and severely affect the environment. Though Mussolini’s systematic genocide of the Ethiopian people from 1935- 1941 occurred virtually within the same timeframe as Hitler’s Nazi holocaust against the Jews from 1933-1941, nevertheless, the Fascist genocide in Ethiopia is excluded from the annals of the world’s history books and from historical genocide documents at the United Nations. Ethiopia has a long and troubled history of famines including prolonged droughts and frequent severe rainfall failure. In 1973, a famine in Wollo killed an estimated 50,000 to 100,000, mostly of the marginalized Afar herders and Oromo tenant farmers, who suffered from the widespread confiscation of land by the wealthy classes and government of Emperor Haile Selassie. In 1984 another great famine affected Ethiopia. Up to a million people may have died, and many more were left destitute, making it one of the worst famines in recent history, and on par with the Chinese famine of 1959–61 in terms of mortality as a proportion of the population. In Ethiopia droughts have a significant effect on the national economy. Drought and famine primarily affects the agricultural sector, causing direct losses to crop and livestock production and indirectly contributing to food price inflation and balance of trade reduction. As agriculture contributes nearly 50 percent of Ethiopia’s GDP, drought in productive regions can substantially adversely impact the economy. Oxfam estimates that drought alone costs the country $1.1 billion per year. The environmental effect includes deforestation, bio-diversity loss, soil erosion, desertification and wild fires. The social effect of these famines includes distress migration and disruption of social and religious customs. The health impact of the famines includes excess mortality and morbidity and acute and chronic malnutrition. The Derg ruled Ethiopia from 1974 to 1991 under a violent regime of terror, torturing, imprisoning, and/or executing those who opposed them and tallying tens of thousands of victims. Opposition groups developed in response to this governmental abuse, forming various insurgencies across Ethiopia’s fourteen administrative regions. Little is known about the number of people killed, injured or otherwise harmed, either physiologically or psychologically, during these civil wars. Different sources showed that more than 1 million people may had been died. About 2 million Ethiopians and 700,000 Eritreans became refugees in Sudan and Somalia m the 1980s. The crude mortality rates of Ethiopian refugees in Somalia in 1980 and in eastern Sudan in 1985 were 18-45 times higher than the rates in the host countries. Direct and indirect health effects of the war have been identified since the civil war ended in May 1991, including thousands of persons killed in new ethnic clashes and in insecure areas in southern Ethiopia. Severe epidemics of malaria, typhus, relapsing fever and AIDS have also been reported in 1991, and famine conditions persist in the war-torn country. Diarrheal diseases resulted in high child mortality in war affected areas and refugee camps. The incidence of tetanus, a major killer of neonates and children, could be reduced only after the immunization became available in refugee camps in Somalia after 1982. There were 8.7 million people in need of emergency assistance in late 1991, as many as during the 1984 famine. During the last 25 years the ruling Tigray People Liberation Front regime and its cohorts have committed various gruesome human rights violations against members of the Amara (Amhara) ethnic group in Ethiopia. In 1976, the Tigray People’s Liberation Front (TPLF) that is currently ruling Ethiopia crafted its Greater Tigray Manifesto. TPLF claimed in its political program as a struggle against “Amara and imperialism” and labelled the Amaras as staunch enemies of the Tigray people, it is generally assumed that the opposition to TPLF’s apartheid-style rule would come from the Amara ethnic group. In different parts of the country, thousands of Amaras and other Christian homes have been razed and burnt down to ashes, thousands of human lives have perished; property worth millions of Birr has been destroyed. Based on eye witness accounts and video evidences, Amaras and other Christians have been slaughtered like animals; the breast of women were cut and these very women victims forced to roast or grill their breast. HIV/AIDS and malaria are the major health hazards in Ethiopia. An estimated 1.3 million Ethiopians live with the virus, and roughly 68,136 of them are under 15 years old. Close to 2 million Ethiopians have died from AIDS-related diseases, and about 640,802 children have been orphaned by them. Malaria accounts for up to 20 per cent of under-five deaths. Tragically, in epidemic years, mortality reports of nearly 100,000 children are not uncommon. Ethiopia is exposed to seismic activity along the boundaries of the African plate and the Somali plate, which run north-south through the centre of the country. The highest level of earthquake activity ever recorded in the country is 6.9 on the Richter scale. The main risk factors to disasters in Ethiopia can be categorized in to four major risk factors group: socio-economic, environmental, political and, geological risk factors. Ethiopia is one of the world’s poorest countries at US$115 gross domestic product per capita. Half of the population lives in absolute poverty. The agricultural sector, which accounts for more than half of gross domestic product and 80% of total employment, suffers from frequent drought and poor cultivation practices. Ethiopia’s climate is highly variable, and is projected to become more variable due to climate change, with the potential for increased frequency of extreme weather events including floods and droughts. The vulnerability to climate related hazards and food insecurity is closely linked to land degradation. Forest clearing for agriculture, population increases, and overgrazing has led to rapid deforestation and degradation of land sources. This has worsened the availability of food, water, and fuel. The current rate of deforestation is estimated at 160,000 to 200,000 hectares per year. Lack of good governance, potential ethnic violence and dictatorial and authoritarian nature of the current government are potential risk factors for large scale insurgency and civil wars. The public health system is continually challenged by recurrent and unexpected disease outbreaks and is facing the challenge of managing health consequences of natural and human made disasters, emergencies, crisis, and conflicts. These problems continue to disrupt the health care system, while successful detection and response to these challenges is becoming increasingly complicated. Even in the best of times, the health system in Ethiopia is inadequate. One of the most immediate threats to life in crisis areas stems from vulnerable populations’ lack of access to any form of meaningful health care. Emergency measures are still insufficient given the vast public health threats including adequate EPI coverage for vulnerable populations, sufficient quantities of clean water for consumption and hygiene purposes, satisfactorily balanced, adequate and appropriate food aid rations, and other properly conceptualized and managed nutrition interventions. It is a very serious concern that the majority of disaster- affected populations in Ethiopia does not benefit from an adequate system and are therefore at risk of elevated levels of malnutrition, morbidity and mortality in times of disasters. Some investigations and reports has found Millions of pounds of Western aid money intended to buy food for starving Ethiopians during the country's 1984 famine were instead used by Tigray People’s Liberation Front to buy weapons. Recent reports documented different evidence that the ruling Ethiopian